Anaphylaxis Life threatening allergic reactions The administration of

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Anaphylaxis: Life threatening allergic reactions The administration of Epinephrine Auto Injectors Presenter-Teresa Cohn RN,

Anaphylaxis: Life threatening allergic reactions The administration of Epinephrine Auto Injectors Presenter-Teresa Cohn RN, Licensed School Nurse Osseo Area Schools February 17, 2016

Allergic Reaction u An allergic reaction is a state of altered reactivity in which

Allergic Reaction u An allergic reaction is a state of altered reactivity in which the body reacts with an exaggerated immune response to a foreign agent. u Most allergic reactions are not life-threatening with mild symptoms such as nasal drainage & congestion, sneezing and rash. u Anaphylaxis is a severe life-threatening allergic reaction that can affect the skin, stomach, lungs, heart, throat, & mouth. A reaction maybe delayed as much as 2 hours or more after an exposure.

Signs and Symptoms of an Anaphylaxis Allergic Reaction SEVERE SYMPTOMS: For any of the

Signs and Symptoms of an Anaphylaxis Allergic Reaction SEVERE SYMPTOMS: For any of the following give Epinephrine • Other: Uncomfortable, fearful, sense that something is wrong. • Lungs: Shortness of breath, wheeze and repetitive cough • Heart: Pale, blue, faint weak pulse, dizzy and/or passed out • Mouth: significant swelling of the tongue and or lips § Throat: tight, trouble breathing or swallowing, hoarseness § Skin: many hives over body widespread redness § Gut: Abdominal cramps, nausea, repetitive vomiting and sudden severe diarrhea

Signs and Symptoms of an Anaphylaxis Allergic Reaction MILD SYMPTOMS: If has more than

Signs and Symptoms of an Anaphylaxis Allergic Reaction MILD SYMPTOMS: If has more than one mild symptom give Epinephrine: • Nose: itchy/runny nose and sneezing • Mouth: itchy mouth • Skin: a few hives, mild itch • Gut: mild nausea and discomfort

Sample Emergency Care Plan Highlighted areas: • What allergy is. • What bus driver

Sample Emergency Care Plan Highlighted areas: • What allergy is. • What bus driver instructions are. • Student’s name • What medication is available. Defines severe and mild reaction & what to do.

Sample Emergency Care plan page 2 • Call 911 & parents. • Note time

Sample Emergency Care plan page 2 • Call 911 & parents. • Note time & tell 911 that epinephrine was given & to send an ambulance with epinephrine • Treat student even if parents are not reached • Consider having student lay down with feet raised • A second dose of epinephrine sometimes is given 5 minutes or more after the first if symptoms persist of recur. Rebound effects occur in 20% of individuals. • Directions for 3 different manufactures of Epinephrine auto injectors: Epi-Pen, Adrenaclick and the Auvi-Q • Give the used epinephrine auto-injector to paramedics

Allergic reaction to peanut butter • When in doubt give the shot, waiting can

Allergic reaction to peanut butter • When in doubt give the shot, waiting can be lethal. Experts recommend using epinephrine early if a person known to be at risk of anaphylaxis begins to show signs of allergy symptoms – don’t wait until the symptoms worsen, as it may become to difficult put a halt to the reaction once it’s in progress. • Giving a dose of epinephrine will not harm you if having a true reaction. • Giving epinephrine will possibly save someone's life. • The Good Samaritan Law will cover you if in good faith you believe the child was experiencing an anaphylaxis type reaction and you administered the medication.

Types of Auto-Injectors

Types of Auto-Injectors

How to use an Epi-pen on someone else https: //youtu. be/egxkvpg. X 544 It

How to use an Epi-pen on someone else https: //youtu. be/egxkvpg. X 544 It Could Save A Life

Trainer Demonstration Any Questions or comments?

Trainer Demonstration Any Questions or comments?